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Most recents (24)
#Information cascade alert!
The US #intelligence agencies are supposed to reveal all information they have with respect to the #OriginOfCovid
I wanted to use the opportunity to explain exactly what you will see happening in the media, no matter the content of those reports
🧵
The US #intelligence agencies are supposed to reveal all information they have with respect to the #OriginOfCovid
I wanted to use the opportunity to explain exactly what you will see happening in the media, no matter the content of those reports
🧵
First, let's talk about expectations.
From the get-go, it is absolutely clear that there is no #smoking gun or similar to be expected.
The intelligence services all had access to the same information and most assessments are low confidence, with 4 agencies favoring #zoonosis.
From the get-go, it is absolutely clear that there is no #smoking gun or similar to be expected.
The intelligence services all had access to the same information and most assessments are low confidence, with 4 agencies favoring #zoonosis.
Within the 'manmade' mythology, too many unverified stories are taken as gospel truth.
Overall, the best LLs can hope for is that the IC can verify some #circumstantial evidence that they have spun into their #mythology; but honestly, I highly doubt that.
Overall, the best LLs can hope for is that the IC can verify some #circumstantial evidence that they have spun into their #mythology; but honestly, I highly doubt that.
A 44-yo♂️, HIV +, CD4 cell count of 86/mL, viral load of 35,900 copies/mL: a 1-month history of fevers and pruritic blackish-brown lamellated plaques on the limbs and scalp.
¼
👇
DOI: 10.1056/NEJMicm2213894
#IDtwitter #dermatology
¼
👇
DOI: 10.1056/NEJMicm2213894
#IDtwitter #dermatology
A RPR titer of 1:32.
A Treponema pallidum particle agglutination: ➕.
A skin-biopsy of the left forearm 🔬: diffuse dermal lymphocytes and histiocytes admixed with a plasma-cell infiltrate.
MALIGNANT SYPHILIS
2/4
#microbiology #dermpath #RareInfection
A Treponema pallidum particle agglutination: ➕.
A skin-biopsy of the left forearm 🔬: diffuse dermal lymphocytes and histiocytes admixed with a plasma-cell infiltrate.
MALIGNANT SYPHILIS
2/4
#microbiology #dermpath #RareInfection
Malignant #syphilis:
- uncommon form of secondary syphilis
- primarily affects immunocompromised persons.
-skin manifestations are varied, ranging from ulceronodular lesions to oyster shell–like crusts
3/4
#primarycare #MedTwitter #Awareness
- uncommon form of secondary syphilis
- primarily affects immunocompromised persons.
-skin manifestations are varied, ranging from ulceronodular lesions to oyster shell–like crusts
3/4
#primarycare #MedTwitter #Awareness
An 85-YO in rural Mississippi: months of tender, erythematous plaques & edema on bilateral hands extending to the elbows & on feet extending below the knees with significant pain
🔬skin granulomatous inflammation & numerous AFB
Mycobacterial🧫:➖
1/19
#IDtwitter #dermatology
🔬skin granulomatous inflammation & numerous AFB
Mycobacterial🧫:➖
1/19
#IDtwitter #dermatology
A repeat skin extensive granulomatous inflammation (A), with Ziehl-Neelsen stain clusters of acid-fast bacilli throughout the dermis (B).
Kinyoun stain >9 AFB/high-power field (C & D).
2/19
DOI: doi.org/10.1128/jcm.00…
#dermpath #microbiology
Kinyoun stain >9 AFB/high-power field (C & D).
2/19
DOI: doi.org/10.1128/jcm.00…
#dermpath #microbiology
Molecular identification: 100% identity to multiple Mycobacterium leprae
BORDERLINE LEPROMATOUS LEPROSY WITH REVERSAL REACTION
3/19
#MedTwitter #MolBiol
BORDERLINE LEPROMATOUS LEPROSY WITH REVERSAL REACTION
3/19
#MedTwitter #MolBiol
Hospitalisation can burn a hole in your pocket and derail your finances. It will become even tough, if the person who brings in the money, is now in a hospital bed. All this can be avoided by just paying a small annual premium towards health insurance
#healthinsurance #hospital
#healthinsurance #hospital
There are some loop holes in these insurance policies which may again end up leaving a hole in your pocket. So let's shed light on a few things you should be aware of before purchasing insurance.
#HealthForAll #healthinsurance #hospitalised #hospitals
#HealthForAll #healthinsurance #hospitalised #hospitals
1) What type of health plan it is?
There are various types of health insurance plans -
Individual Health Insurance
Family
Senior Citizen
Surgery & Critical Illness,etc
Go thoroughly through the benefits of each plan and then choose the one that best caters to your requirement.
There are various types of health insurance plans -
Individual Health Insurance
Family
Senior Citizen
Surgery & Critical Illness,etc
Go thoroughly through the benefits of each plan and then choose the one that best caters to your requirement.
Very intelligent 🧠 and #brilliant doctors. Doctor vs #DoctorWho Quiz.
Which #cytokine stimulate the growth and differentiation of #eosinophils.
#medtwitter #meded #doctor #USMLE #medical
Which #cytokine stimulate the growth and differentiation of #eosinophils.
#medtwitter #meded #doctor #USMLE #medical
Very intelligent 🧠 and #brilliant doctors. #Doctor vs #Doctor Quiz.
Which #cytokine stimulate the growth and differentiation of #eosinophils.
#medtwitter #meded #doctor #USMLE #medical
Which #cytokine stimulate the growth and differentiation of #eosinophils.
#medtwitter #meded #doctor #USMLE #medical
A thread of my @Jikkyleaks inspired midjourney creations, enjoy
Jikky enjoying morning coffee before fighting the muttons
A 44-YO♂️, stayed in a rural cottage of France 2 weeks previously: cramping upper abdominal pain with watery diarrhea.
He had passed what he thought were worms in his feces
Eosinophilia
1/6
doi.org/10.1093/cid/ci…
#GITwitter #IDtwitter #microbiology
He had passed what he thought were worms in his feces
Eosinophilia
1/6
doi.org/10.1093/cid/ci…
#GITwitter #IDtwitter #microbiology
The specimens: identified as the larvae of the drone fly, Eristalis tenax
These larvae are 2.5–3 cm in length; the posterior tube gives them the name of “rat-tailed maggots”
INTESTINAL MYASIS CAUSED BY ERISTALIS TENAX LARVA
2/6
doi.org/10.1093/cid/ci…
#parasites #GIPath #Doctor
These larvae are 2.5–3 cm in length; the posterior tube gives them the name of “rat-tailed maggots”
INTESTINAL MYASIS CAUSED BY ERISTALIS TENAX LARVA
2/6
doi.org/10.1093/cid/ci…
#parasites #GIPath #Doctor
Myiasis caused by E. tenax:
✔️rare but have been
✔️reported from various countries including Europe
✔️most often intestinal myiasis, but cases of infestation of the nasal cavity, urinary tract, and vagina have been described.
3/6
#Doctor #MedStudentTwitter
✔️rare but have been
✔️reported from various countries including Europe
✔️most often intestinal myiasis, but cases of infestation of the nasal cavity, urinary tract, and vagina have been described.
3/6
#Doctor #MedStudentTwitter
A few patient consultations may not require prescribing medicines
1. When patients consult a doctor, in most cases, they expect a pill to be prescribed.
Vice versa, a doctor may feel compelled to prescribe a drug to ensure patient's satisfaction.
#doctor #patient #MedTwitter
1. When patients consult a doctor, in most cases, they expect a pill to be prescribed.
Vice versa, a doctor may feel compelled to prescribe a drug to ensure patient's satisfaction.
#doctor #patient #MedTwitter
2. There are some situations, where a medicine need not be prescribed. As a doctor, it is our duty to explain this aspect to the patient, so that un-necessary medicine prescription may be avoided. It can save costs as well as prevent any drug-related "adverse effects".
3. Case 1: 25-year old presented with pins & needles sensation in scalp for 3 days. It was mild & didn't interfere with daily activities. Patient was anxious that it could be something serious. Clinical exam was normal. I reassured the patient and asked to review, if needed.
3 años ♀️, padre con lesiones cutáneas similares: lesiones cutáneas polimorfas localizadas en los glúteos, con elementos papulares, vesiculares y pustulosos umbilicados
1/13
🖊️M Roguera y col. @hgermanstrias @aepediatria
DOI: 10.1016/j.anpedi.2022.09.006
#pediatria #infecciosas
1/13
🖊️M Roguera y col. @hgermanstrias @aepediatria
DOI: 10.1016/j.anpedi.2022.09.006
#pediatria #infecciosas
@hgermanstrias @aepediatria Se confirmó en el padre la infección por virus de la viruela del mono (MPXV).
PCR de líquido vesicular de las lesiones:➕para MPXV.
VIRUELA DEL MONO (Mpox)
2/13
#MolBiol #virology #virología
PCR de líquido vesicular de las lesiones:➕para MPXV.
VIRUELA DEL MONO (Mpox)
2/13
#MolBiol #virology #virología
@hgermanstrias @aepediatria Se realizó aislamiento de contacto y secreciones respiratorias (aérea y gotas) en el domicilio hasta la curación completa de las lesiones cutáneas (a los 10 días de evolución).
No hubo complicaciones ni nuevas lesiones en el seguimiento.
3/12
#IDtwitter #microbiología
No hubo complicaciones ni nuevas lesiones en el seguimiento.
3/12
#IDtwitter #microbiología
2 meses ♂️, madre VIH+, toxicómana, y chancro perineal indoloro en 2º trimestre del embarazo:
Un mes de rinorrea serosanguinolenta, lesiones dérmicas, FC 180lpm, FR 50rpm, Tª 38,8°C, crepitantes finos en tórax, hepatoesplenomegalia,
1/5
#dermatología #pediatria #infecciosas
Un mes de rinorrea serosanguinolenta, lesiones dérmicas, FC 180lpm, FR 50rpm, Tª 38,8°C, crepitantes finos en tórax, hepatoesplenomegalia,
1/5
#dermatología #pediatria #infecciosas
🧪CMIA anti-Treponema pallidum :➕
⬇️: glucosa, hemoglobina, plaquetas, albúmina
⬆️:transaminas, bilirrubinemia directa
RX: periostitis en huesos largos
PL: hipoglucorraquia, hiperproteinorraquia, sin pleocitosis y VDRL➕
VDRL materno:➕
2/5
#microbiologia #urgencias
⬇️: glucosa, hemoglobina, plaquetas, albúmina
⬆️:transaminas, bilirrubinemia directa
RX: periostitis en huesos largos
PL: hipoglucorraquia, hiperproteinorraquia, sin pleocitosis y VDRL➕
VDRL materno:➕
2/5
#microbiologia #urgencias
#SIFILIS #CONGÉNITA CON NEUROSÍFILIS Y CHOQUE SEPTICO
Penicilina G sódica cristalina durante 14 días, con adecuada evolución y alta por mejoría clínica.
3/5
🖊️@_jicastillo @samanthap78 @Mascarejazzy col.
DOI: 10.1016/j.anpedi.2022.06.019
#AtencionPrimaria
Penicilina G sódica cristalina durante 14 días, con adecuada evolución y alta por mejoría clínica.
3/5
🖊️@_jicastillo @samanthap78 @Mascarejazzy col.
DOI: 10.1016/j.anpedi.2022.06.019
#AtencionPrimaria
A 26-YO♂️ no #sexual contacts other than with his male partner: 6-day of fever, malaise, a swollen parotid gland, & ulcerative lesion on the ipsilateral lower lip.
Mild lymphopenia
⬆️GGT & CRP
1/6
doi.org/10.1016/S0140-…
#IDtwitter #dermatology #EarNoseThroat
Mild lymphopenia
⬆️GGT & CRP
1/6
doi.org/10.1016/S0140-…
#IDtwitter #dermatology #EarNoseThroat
PCRs on the throat & ulcer swabs:➕for human #monkeypox (hMPX)
Genomic sequencing: clade IIb variant clustering within the current international mpox virus outbreak
PAROTIDITIS CAUSED BY hMPX virus
2/6
#sexually #maxillofacial #microbiology
Genomic sequencing: clade IIb variant clustering within the current international mpox virus outbreak
PAROTIDITIS CAUSED BY hMPX virus
2/6
#sexually #maxillofacial #microbiology
7 days after initial presentation, his clinical condition had improved together with a decrease in the parotid swelling and the size of the ulcer.
3/6
#MedTwitter #Doctor #MedStudentTwitter
3/6
#MedTwitter #Doctor #MedStudentTwitter
A 58-YO♂️, DM, fever & L lower quadrant abdominal pain 2 months prior: acute R-sided back pain, & 3/6 diastolic murmur at R upper sternal border.
CT: a R renal infarction & splenic embolism
MR: multiple infarctions
1/7
doi.org/10.1016/j.idcr…
#Cardiology #medicine #cardiologia
CT: a R renal infarction & splenic embolism
MR: multiple infarctions
1/7
doi.org/10.1016/j.idcr…
#Cardiology #medicine #cardiologia
Transesophageal echocardiography: a vegetation and severe aortic regurgitation.
Blood 🧫: Cardiobacterium hominis
CARDIOBACTERIUM HOMINIS ENDOCARDITIS ASSOCIATED WITH CEREBRAL, RENAL, AND SPLENIC INFARCTIONS
2/7
#IDtwitter #microbiology
Blood 🧫: Cardiobacterium hominis
CARDIOBACTERIUM HOMINIS ENDOCARDITIS ASSOCIATED WITH CEREBRAL, RENAL, AND SPLENIC INFARCTIONS
2/7
#IDtwitter #microbiology
The patient received antibiotic therapy and surgical aortic valve replacement, and he was doing well without major complications.
3/7
#infecciosas #MedTwitter #Doctor
3/7
#infecciosas #MedTwitter #Doctor
A 71-YO therapy for multiple mieloma, voriconazole for Aspergillus fumigatus sinusitis, prophylaxis with TMP-SMX: febrile neutropenia, nodular lesion on abdominal wall
CT: pulmonary nodule unchanged in last a month
🔬biopsy of pulmonary nodule?
1/8
#Pathologists #haematology
CT: pulmonary nodule unchanged in last a month
🔬biopsy of pulmonary nodule?
1/8
#Pathologists #haematology
🔬: Histiocytic process with granular basophilic cytoplasm and Michaelis-Gutmann bodies (arrows), positive for calcium with von Kossa special stain (arrowhead); findings pathognomonic for malakoplakia.
PULMONARY MALAKOPLAQUIA
2/8
doi.org/10.1093/cid/ci…
#pathTwitter
PULMONARY MALAKOPLAQUIA
2/8
doi.org/10.1093/cid/ci…
#pathTwitter
🧫of the pulmonary nodule:➖
🧫biopsy of the abdominal wall lesion: Rhodococcus equi resistant to TMP-SMX, but susceptible to rifampicin, vancomycin, azithromycin, ciprofloxacin, & imipenem.
RHODOCOCCUS EQUI SUBCUTANEOUS ABSCESS
3/8
doi.org/10.1093/cid/ci…
#microbiology
🧫biopsy of the abdominal wall lesion: Rhodococcus equi resistant to TMP-SMX, but susceptible to rifampicin, vancomycin, azithromycin, ciprofloxacin, & imipenem.
RHODOCOCCUS EQUI SUBCUTANEOUS ABSCESS
3/8
doi.org/10.1093/cid/ci…
#microbiology
A 57-YO Mexican♀️, works on a farm has several pets, including dogs, at home: epigastric fullness, and a 15-pound weight loss.
CT: complex cystic left liver mass.
1/5
doi.org/10.1093/cid/ci…
#gastroenterology #radiology #medicine
CT: complex cystic left liver mass.
1/5
doi.org/10.1093/cid/ci…
#gastroenterology #radiology #medicine
Resection: Cyst wall (red➡️), daughter cysts (*) normal liver tissue (yellow⬅️)
🔬acellular laminated wall (*), inner germinal layer (black⬅️), & protoscoleces surrounded by a broad capsule (green⬅️). Refractile hooklets (blue⬅️) & calcareous bodies (red⬅️)
2/5
#GIPath #IDtwitter
🔬acellular laminated wall (*), inner germinal layer (black⬅️), & protoscoleces surrounded by a broad capsule (green⬅️). Refractile hooklets (blue⬅️) & calcareous bodies (red⬅️)
2/5
#GIPath #IDtwitter
ECHINOCOCCAL CYST
The patient underwent total excision of the cyst followed by albendazole therapy for 4 weeks.
3/5
doi.org/10.1093/cid/ci…
#microbiology #GITwitter #MedStudentTwitter
The patient underwent total excision of the cyst followed by albendazole therapy for 4 weeks.
3/5
doi.org/10.1093/cid/ci…
#microbiology #GITwitter #MedStudentTwitter
This thread is
Chapter 47, titled
“Forgetting:
“Our Edenal Experience in the Womb & the Loss of a “Golden Age”
“…an Account, in Fictional Form, of Being a Fetus”
of *Dance of the Seven Veils II*
by Michael Adzema
THREAD sillymickel.blogspot.com/2023/02/forget… #psyche #prenatal
D7V2 47/1
Chapter 47, titled
“Forgetting:
“Our Edenal Experience in the Womb & the Loss of a “Golden Age”
“…an Account, in Fictional Form, of Being a Fetus”
of *Dance of the Seven Veils II*
by Michael Adzema
THREAD sillymickel.blogspot.com/2023/02/forget… #psyche #prenatal
D7V2 47/1
*Dance of the Seven Veils II* by Michael Adzema is due out March, 2023.
it is subtitled,
*Prenatal/Perinatal Psychology, Mythology, and Your Divine Self*
*Infant to Prenate, Veils Four-Six*
& is Volume 3 in The Path of Ecstasy Series
THREAD wp.me/pwMlb-3jX
D7V2 47/2
it is subtitled,
*Prenatal/Perinatal Psychology, Mythology, and Your Divine Self*
*Infant to Prenate, Veils Four-Six*
& is Volume 3 in The Path of Ecstasy Series
THREAD wp.me/pwMlb-3jX
D7V2 47/2
“[*Quotes/highlights:*] “The bond between them is a love having no source in either. It is there, ever present, flowing back & forth like waves lapping on a beach...effortlessly, lazily.” []
READ/DWL CH… 1drv.ms/b/s!AvgkzaPrRv… #psychology #prenatal #consciousness
D7V2 47/3
READ/DWL CH… 1drv.ms/b/s!AvgkzaPrRv… #psychology #prenatal #consciousness
D7V2 47/3
A 50-YO ♀️ bitten by her pet rat: fever, myalgia, sore throat, headaches a nonpruritic rash on extremities including palms & soles, arthralgias, knees arthritis.
A punctate wound with central necrosis on L palm, & her R thumb.
1/9
#rheumatology #internalmedicine #dermatology
A punctate wound with central necrosis on L palm, & her R thumb.
1/9
#rheumatology #internalmedicine #dermatology
Leukocytosis with neutrophilia
ESR & PCR:⬆️
Purulent R knee synovial fluid:
✔️46 000 cells/mL (88% neutrophils).
✔️Gram stain: scant pleomorphic gram-negative bacilli in chains with lateral bulbar swellings
2/9
doi.org/10.1093/cid/ci…
#microbiology #rheumatologist
ESR & PCR:⬆️
Purulent R knee synovial fluid:
✔️46 000 cells/mL (88% neutrophils).
✔️Gram stain: scant pleomorphic gram-negative bacilli in chains with lateral bulbar swellings
2/9
doi.org/10.1093/cid/ci…
#microbiology #rheumatologist
Synovial fluid 🧫culture: Streptobacillus moniliformis identified by biochemical testing & confirmed by MALDI-TOF.
RAT BITE FEVER (RBF) WITH SEPTIC ARTHRITIS DUE STREPTOBACILLUS MONILIFORMIS
3/9
#bacteriology #IDtwitter #microbiología
RAT BITE FEVER (RBF) WITH SEPTIC ARTHRITIS DUE STREPTOBACILLUS MONILIFORMIS
3/9
#bacteriology #IDtwitter #microbiología
A 17-YO♀️, unprotected #sexual intercourse with multiple male partners: a 1-month history of pruritic genital lesions, multiple smooth, grayish-white papules & plaques were noted on the vulva & upper inner thighs.
1/5
DOI: 10.1056/NEJMicm2207538
#gynecology #womenshealth
1/5
DOI: 10.1056/NEJMicm2207538
#gynecology #womenshealth
A Treponema pallidum particle agglutination assay:➕
Rapid plasma reagin titer: ➕1:16.
CONDYLOMA LATA OF SECONDARY SYPHILIS
2/5
#microbiology #gynecologist #primarycare
Rapid plasma reagin titer: ➕1:16.
CONDYLOMA LATA OF SECONDARY SYPHILIS
2/5
#microbiology #gynecologist #primarycare
✔️Testing for other sexually transmitted infections, including HIV infection: ➖
✔️Counseling on the importance of condom use
✔️IM penicillin G benzathine
At the 1-month follow-up visit, the lesions had resolved, and the RPR was 1:8.
3/5
#dermtwitter #IDtwitter #MedTwitter
✔️Counseling on the importance of condom use
✔️IM penicillin G benzathine
At the 1-month follow-up visit, the lesions had resolved, and the RPR was 1:8.
3/5
#dermtwitter #IDtwitter #MedTwitter
A 29-YO♂️, 6 months before, HIV + & non–drug-resistant pulmonary tuberculosis, antiretroviral & 4-drug antituberculous therapy initiated but soon reduced to rifampin & isoniazid only: abdominal pain on the L side
CT: ?
1/5
DOI: 10.1056/NEJMicm2206174
#radiologist #GITwitter
CT: ?
1/5
DOI: 10.1056/NEJMicm2206174
#radiologist #GITwitter
CT: an enlarged spleen with numerous hypodense lesions (A).
CD4 cell count: 119/mm3
VIH viral load: 1778 copies/mm3
A splenectomy was performed to evaluate for cancer:
numerous necrotic nodules with purulent discharge (B).
2/5
#microbiology #gastroenterology #IDtwitter
CD4 cell count: 119/mm3
VIH viral load: 1778 copies/mm3
A splenectomy was performed to evaluate for cancer:
numerous necrotic nodules with purulent discharge (B).
2/5
#microbiology #gastroenterology #IDtwitter
🔬granulomatous inflammation with caseous necrosis (C) and acid-fast bacilli (D, arrowheads).
A tissue🧫: ➖
PCR: ➕for Mycobacterium tuberculosis
SPLENIC TUBERCULOSIS
3/5
#bacteriology #MedTwitter #GIPath
A tissue🧫: ➖
PCR: ➕for Mycobacterium tuberculosis
SPLENIC TUBERCULOSIS
3/5
#bacteriology #MedTwitter #GIPath
@IPiikki @turnusband "PEG-nanokantajat pääsevät kulkemaan elimistön biologisten esteiden läpi. Ne menevät rasvaliukoisina nanokantajina myös [1]veri-aivoesteen läpi ja jos ne läpäisevät veri-aivoesteen, ne läpäisevät myös istukan."
@IPiikki @turnusband #PEGylated lipids; #ALC135
ALC-135 is functional Cationic lipid of the vaxx.
-introduction of an aquenos #RNA solution.. at a specific pH leads to an #electrostatic interaction between #negatively charged RNA backbone and #positively charged Cationic lipid
ALC-135 is functional Cationic lipid of the vaxx.
-introduction of an aquenos #RNA solution.. at a specific pH leads to an #electrostatic interaction between #negatively charged RNA backbone and #positively charged Cationic lipid
@IPiikki @turnusband #SINOPEG #China Pat. #CN112220919A
Nano #coronavirus recombinant vaccine taking #GrapheneOxide as carrier
- The invention; field of nano materials and biomedicine, and relates to a vaccine, to devt of #2019nCoV #coronavirus nuclear recombinant nano vaccine
Nano #coronavirus recombinant vaccine taking #GrapheneOxide as carrier
- The invention; field of nano materials and biomedicine, and relates to a vaccine, to devt of #2019nCoV #coronavirus nuclear recombinant nano vaccine
A 17-YO: a 3-week of dizziness, headache, & weakness of the R leg
MR: ring-enhancing lesions in the frontal lobe & basal ganglia on the L side (A; T1-W) as well as surrounding edema & midline shift (B; T2-W)
1/6
DOI: 10.1056/NEJMicm2202196
#neurology #radiology #IDTwitter
MR: ring-enhancing lesions in the frontal lobe & basal ganglia on the L side (A; T1-W) as well as surrounding edema & midline shift (B; T2-W)
1/6
DOI: 10.1056/NEJMicm2202196
#neurology #radiology #IDTwitter
IgG ab for Echinococcus multilocularis & E. granulosus: ➖
Surgical excision🔬: necrotic tissue, granulomatous inflammation, echinococcal laminated membrane (C, arrow) & an intact cyst (D, arrow)
RT-PCR: ➕for E. multilocularis
2/6
#parasitology #Pathologists #pathology
Surgical excision🔬: necrotic tissue, granulomatous inflammation, echinococcal laminated membrane (C, arrow) & an intact cyst (D, arrow)
RT-PCR: ➕for E. multilocularis
2/6
#parasitology #Pathologists #pathology
CT imaging of the chest and abdomen did not show any other sites of disease.
CEREBRAL ALVEOLAR ECHINOCOCCOSIS
3/6
DOI: 10.1056/NEJMicm2202196
#microbiology #MedTwitter #Doctor
CEREBRAL ALVEOLAR ECHINOCOCCOSIS
3/6
DOI: 10.1056/NEJMicm2202196
#microbiology #MedTwitter #Doctor
A 14-yo ♂️ lived on a farm: a 1-month history of episodic headaches, vomiting, & papilledema
MR: a multiloculated cyst of the brain (A) with a hypointense rim and small projections in T2 phase (B, arrow)
1/5
DOI: 10.1056/NEJMicm2208104
#neurology #radiology #pediatric
MR: a multiloculated cyst of the brain (A) with a hypointense rim and small projections in T2 phase (B, arrow)
1/5
DOI: 10.1056/NEJMicm2208104
#neurology #radiology #pediatric
Findings suggestive of CYSTIC ECHINOCOCCOSIS.
CT of the body: no other sites of disease.
A craniotomy was performed, during which saline irrigation was used to separate the cyst wall from the brain to avoid rupture.
2/5
DOI: 10.1056/NEJMicm2208104
#IDtwitter #parasitology
CT of the body: no other sites of disease.
A craniotomy was performed, during which saline irrigation was used to separate the cyst wall from the brain to avoid rupture.
2/5
DOI: 10.1056/NEJMicm2208104
#IDtwitter #parasitology
🔬: an echinococcal laminated membrane lined by a germinal layer with daughter cysts (Panel D, arrows) and protoscolices (inset, arrows) with hooklets (arrowhead).
PRIMARY CEREBRAL CYSTIC ECHINOCOCCOSIS FROM ECHINOCOCCUS GRANULOSUS
3/5
#microbiology #Pathologists #pathology
PRIMARY CEREBRAL CYSTIC ECHINOCOCCOSIS FROM ECHINOCOCCUS GRANULOSUS
3/5
#microbiology #Pathologists #pathology
A 50-YO♂️of North India, visited bat caves & a bird sanctuary in Thailand: multiple plaques & nodules on his face, neck, arms & trunk with hoarseness, fever, weight loss for months
Laryngoscopy: nodules over the tonsils & posterior pharyngeal wall
1/4
#medicine #dermatology
Laryngoscopy: nodules over the tonsils & posterior pharyngeal wall
1/4
#medicine #dermatology
Skin & laryngeal 🔬: histiocytes with intracellular & extracellular PAS+ yeast cells
Skin biopsy🧫: tuberculate macroconidia confirmed as H. capsulatum var. capsulatum
Ab against Histoplasma by ID:➕
DISSEMINATED HISTOPLASMOSIS
2/4
doi.org/10.3109/136937…
#mycology #IDtwitter
Skin biopsy🧫: tuberculate macroconidia confirmed as H. capsulatum var. capsulatum
Ab against Histoplasma by ID:➕
DISSEMINATED HISTOPLASMOSIS
2/4
doi.org/10.3109/136937…
#mycology #IDtwitter
Disseminated histoplasmosis involving skin & larynx in an apparently immunocompetent individual
The infection appeared to be imported from Thailand.
The patient responded very well to intravenous amphotericin B followed by itraconazole.
3/4
#microbiology #MedTwitter #Doctor
The infection appeared to be imported from Thailand.
The patient responded very well to intravenous amphotericin B followed by itraconazole.
3/4
#microbiology #MedTwitter #Doctor
Thread Alert! 🧵Starting the conversation with your doctor about using a #ketogenic diet to treat mental illness can be daunting, but it's important to be proactive about your health. #bipolar #depression #schizophrenia #ocd #anxiety (1/9)
Mention the information you've heard from other doctors and the specific mental health condition you are hoping to treat with the #keto diet. (2/9)
Express your eagerness to try the diet, but also emphasize your concern for safety and your willingness to work closely with your doctor. (3/9)
A 46-YO ♂️: oropharyngeal lesions, cervical lymphadenopathy, intermittent fever, hepatosplenomegaly, and deteriorating general health.
Needle aspiration from submandibular lymph node: intra- and extracellular yeasts
1/4
DOI:
doi.org/10.4269/ajtmh.…
#dermpath #mycology
Needle aspiration from submandibular lymph node: intra- and extracellular yeasts
1/4
DOI:
doi.org/10.4269/ajtmh.…
#dermpath #mycology
The histopathology of oral lesion showed features of HISTOPLASMOSIS confirmed later from culture of Histoplasma capsulatum on culture
2/4
#IDtwitter #microbiology #MedTwitter
2/4
#IDtwitter #microbiology #MedTwitter
In immunocompetent hosts, when chronic disseminated histoplasmosis occurs from pulmonary infection, oral ulcers, nodules, and vegetative plaques are common and dissemination to liver, spleen, bone marrow, and other organs is frequent.
3/4
#Doctor #MedStudentTwitter #resident
3/4
#Doctor #MedStudentTwitter #resident
